Provider Demographics
NPI:1760005433
Name:SWENSON, ANDREA L (DNP, APRN, AGCNS-BC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:L
Last Name:SWENSON
Suffix:
Gender:F
Credentials:DNP, APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7066 E LAKE CARLOS DR NE
Mailing Address - Street 2:
Mailing Address - City:CARLOS
Mailing Address - State:MN
Mailing Address - Zip Code:56319-8113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-3707
Practice Address - Country:US
Practice Address - Phone:320-762-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN602364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology